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Rising AHI
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tjm1911 Offline

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Post: #1
Rising AHI
I posted a few months back and my AHI was averging 1.33 over the past year. Recently I got married. So now I sleep wtih my wife and the room is warmer then I am used to, we just have a fan going instead of an AC due to the window being small. Along with that change I have started dieting/exercising and have lost a few pounds. But have noticed I have been having a difficult time falling alseep again. So there is a little background. Also, I have been debating whether I want to try another mask or not. The cushion on my current mask needs to be replaced but I have not done so because Im unsure if I want to buy another maks. My machine is also just on a fix pressure. I would like to have the auto set but I do not have that at this time.

Since July 10 my AHI is as follows:

13.47, 7.12, 6.50,8.10, 9.90, 5.57, 7.52, 13.19

The highest event in my event breakdown is Clear Airway.

I tried to post images from photobucket. I was unable to do so. Any advice/ input is appreciated.
07-19-2015 12:40 PM
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Sleeprider Online
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Posts: 3,350
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Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #2
RE: Rising AHI
Once your post count is over 8 posts, you can post links and images. You can attach images or post them according to this tutorial. https://sleep.tnet.com/reference/tips/imgur

If your events are primarily CA, we don't treat that with pressure. You might reduce EPR (exhale pressure relief) to a lower amount of pressure change. If you are experiencing excessive leaks, this may be distorting your data. Finally, you can trial some alternate pressures. Since you have lost weight it may be worth trying a pressure around 8.0-8.5 for a while and see what happens.

Good luck, and congratulations.

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07-19-2015 02:31 PM
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tjm1911 Offline

Members

Posts: 18
Joined: May 2015

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Fx-Small
Humidifier: H5i
CPAP Pressure: RX-9, I bumped up to 9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #3
RE: Rising AHI
Thanks a lot for the reply. I will post some more so I can put up the pictures so people can get the visual. I will have to look at the data again but I don;t think I am experiencing excessive leaks, I have the green smiley in the morning. I will look at the sleepy head data tho.

And ah okay. Maybe I i will try the lower pressure.

Thanks
(This post was last modified: 07-19-2015 04:09 PM by tjm1911.)
07-19-2015 04:07 PM
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DariaVader Offline
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Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
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CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

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Post: #4
RE: Rising AHI
lol forum software combined the last 2

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
07-19-2015 04:11 PM
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tjm1911 Offline

Members

Posts: 18
Joined: May 2015

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Fx-Small
Humidifier: H5i
CPAP Pressure: RX-9, I bumped up to 9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #5
RE: Rising AHI
(07-19-2015 04:11 PM)DariaVader Wrote:  lol forum software combined the last 2

LOL yes I see that I had to go find another thread to post something.


Do you know if you can also use photobucket to post?
(This post was last modified: 07-19-2015 04:25 PM by tjm1911.)
07-19-2015 04:23 PM
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tjm1911 Offline

Members

Posts: 18
Joined: May 2015

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Fx-Small
Humidifier: H5i
CPAP Pressure: RX-9, I bumped up to 9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #6
RE: Rising AHI
7/17/15
[Image: 0BAIE23l.png]
[Image: z81M9lIl.png]
[Image: Z45SfeCl.png]
6 Months
[Image: 8RgVLZbl.png]
(This post was last modified: 07-19-2015 04:34 PM by tjm1911.)
07-19-2015 04:30 PM
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surferdude2 Online

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Post: #7
RE: Rising AHI
Does the increase in CA's coincide with your recent increase in therapy pressure to 9.6 cm H2O? If so, that may resolve itself, given more time. If that's not the case, read on.

CA's are often scored while you are drifting in and out of sleep. Are you sleeping as soundly as ever? The increased room temperature along with the increased bed temperature of having a partner adjacent to you, may be causing you to be uncomfortably warm and making sleep difficult.

Dude
(This post was last modified: 07-19-2015 06:27 PM by surferdude2.)
07-19-2015 06:20 PM
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Sleeprider Online
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Posts: 3,350
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #8
RE: Rising AHI
Yeah, and there are other things that can disturb the sleep of newlyweds. Bigwink

First, that is not yet a "typical" result for you. The trend is for increased CA, but there is enough OA in there, i'm not sure we want to reduce pressure a lot. You have a pretty steady amount of OA through that entire history, and only recently has CA become a bit of an issue. If you recall I mentioned EPR? I think turn that down to 1 and see what that does. I suspect the 0.5 reduction in pressure is going to have less effect than cutting back the EPR. Given the recent change in environment for your sleep, I think that has more to do with this than anything related to your CPAP therapy, and it could resolve by itself soon, even if you do nothing.

BTW, ceiling fans are great. Quiet, cooing and can be used with minimal air conditioning to make a room a lot more comfortable. Best improvement I have ever made to a bedroom.

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Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 07-19-2015 06:43 PM by Sleeprider.)
07-19-2015 06:39 PM
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zonk Offline

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Machine: A10 AutoSet
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Post: #9
RE: Rising AHI
(07-19-2015 12:40 PM)tjm1911 Wrote:  My machine is also just on a fix pressure. I would like to have the auto set but I do not have that at this time.
The AutoSet in auto mode, only increase pressure in response to snoring and flow limitation which are indicators for obstructive apnea - not central apnea. So pressure is not increased if were no such indicators, and that in turn may be enough to prevent central events from occurring in the first place. Some people find, not using EPR helps reducing AHI, worn mask cushion does not helps either
07-19-2015 06:42 PM
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tjm1911 Offline

Members

Posts: 18
Joined: May 2015

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Fx-Small
Humidifier: H5i
CPAP Pressure: RX-9, I bumped up to 9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #10
RE: Rising AHI
(07-19-2015 06:20 PM)surferdude2 Wrote:  Does the increase in CA's coincide with your recent increase in therapy pressure to 9.6 cm H2O? If so, that may resolve itself, given more time. If that's not the case, read on.

CA's are often scored while you are drifting in and out of sleep. Are you sleeping as soundly as ever? The increased room temperature along with the increased bed temperature of having a partner adjacent to you, may be causing you to be uncomfortably warm and making sleep difficult.

Dude

Thanks for the reply. The increase in CAs doesn't coincide with the increase in therapy pressure but does coincide with the change of sleeping arrangments and no I have not been sleepying very soundly.
07-19-2015 08:17 PM
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